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TAYLOR DAWSON PA-C
NPI 1114486453
Physician Assistant in San Diego, CA

Active since March 17, 2019PECOS EnrolledAccepts Medicare Assignment
4505 LA JOLLA VILLAGE DR STE C5, SAN DIEGO, CA 92122(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2025, Jul 12, 2022, Oct 20, 2020 and 2 more (5 updates tracked since 2019).

About Taylor Dawson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR DAWSON PA-C (NPI 1114486453) is an individual physician assistant in San Diego, California, licensed in California (61138) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114486453
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAYLOR DAWSONCredential: PA-C
Location Address4505 LA JOLLA VILLAGE DR STE C5San Diego, CA 92122-1214
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 17, 2019
Last NPPES UpdateMarch 17, 20255 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1114486453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · 61138✔ Licensed in MN · 12948
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4505 LA JOLLA VILLAGE DR STE C5, San Diego, CA 92122
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taylor Dawson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375885734
PECOS Enrollment IDI20220727004056
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANASTASIA KHADJINOVA MD
Internal Medicine
4505 LA JOLLA VILLAGE DR STE C5
SAN DIEGO, CA 92122
San Diego County (888) 663-6331
HANNAH HARTIN PA
Physician Assistant
4505 LA JOLLA VILLAGE DR STE C5
SAN DIEGO, CA 92122
San Diego County (888) 663-6331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Dawson's NPI number?

The NPI number for Taylor Dawson is 1114486453. It was assigned to this individual provider in the NPPES registry on March 17, 2019.

Where is Taylor Dawson located?

Taylor Dawson practices at 4505 La Jolla Village Dr Ste C5, San Diego, CA 92122. The listed phone number is (888) 663-6331.

What is Taylor Dawson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Taylor Dawson enrolled in Medicare?

Yes. Taylor Dawson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Taylor Dawson was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.